MICHAEL LEE VALLEZ Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000988

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

LEE

Last Name

VALLEZ

Business Name

MICHAEL LEE VALLEZ

Original Issue Date

11/03/2017

Effective Date

11/03/2017

Expiration Date

11/03/2020

City

WAUKEGAN

State

Zip

60085

Ever Disciplined

LastModifiedDate

11/02/2017